Supreme Mental Wellness Limited Liability Company
NPI 1386477636 · Mental Health Clinic/Center (Including Community Mental Health Center) · Clinton, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supreme Mental Wellness Limited Liability Company is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Clinton, MD (NPI 1386477636).
Provider details
- NPI number
- 1386477636
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olakunle Ayanwale, President(240) 486-1560
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Frequently asked questions
- What is Supreme Mental Wellness Limited Liability Company's NPI number?
- Supreme Mental Wellness Limited Liability Company's National Provider Identifier (NPI) is 1386477636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Mental Wellness Limited Liability Company?
- Supreme Mental Wellness Limited Liability Company is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Supreme Mental Wellness Limited Liability Company located?
- Supreme Mental Wellness Limited Liability Company's practice location on file with NPPES is 8222 Schultz Rd Ste 102, Clinton, MD 20735-2607.
- What is Supreme Mental Wellness Limited Liability Company's phone number?
- The practice phone number listed in the NPPES registry for Supreme Mental Wellness Limited Liability Company is (240) 486-1560.
- Does Supreme Mental Wellness Limited Liability Company accept Medicare?
- Supreme Mental Wellness Limited Liability Company is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Supreme Mental Wellness Limited Liability Company?
- The authorized official listed on Supreme Mental Wellness Limited Liability Company's NPPES record is Olakunle Ayanwale, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Mental Wellness Limited Liability Company's NPI active?
- Yes — Supreme Mental Wellness Limited Liability Company's NPI (1386477636) is active in the NPPES registry as of the last update on 2024-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.